Oral Carcinoma of Squamous Cells (OCSC) and Neoplasm Recurrence: Case Report


*Mayara Larissa Moura de Souza¹, Juliana Cavalcante de Oliveira¹, Maria Gabriela Cavalcanti de Araújo¹, José Brasiliense Holanda Cavalcanti Filho2, Edvaldo Cassimiro Lins Filho2, Riana Aurea Araújo de Barros3, Aurora Karla de Lacerda Vidal 4

1Residency in Hospital Dentistry with a focus on Oncology from the University of Pernambuco – ICB / HUOC / UPE; ² Head and Neck Surgeon of the Oncology Center of the Oswaldo Cruz University Hospital of the University of Pernambuco – CEON / HUOC / UPE; 3 Medic Oncologic Clinic of the Oncology Center of the Oswaldo Cruz University Hospital of the University of Pernambuco – CEON / HUOC / UPE; 4 Profa. Dra. Adjunct of the General Pathological Processes Discipline of the Institute of Biological Sciences of the University of Pernambuco – ICB / UPE. Head of the Dentistry Department of the Oncology Center of the Oswaldo Cruz University Hospital of the University of Pernambuco – CEON / HUOC / UPE, Coordinator of the Residency Program in Hospital Dentistry with focus on Oncology at the University of Pernambuco – ICB / HUOC / UPE.

American Journal of Geographical Research and Reviews

Introduction: 95% of oral cancers are squamous cell carcinomas (SCC). Despite all advances in diagnosis and therapy, oral cavity cancer continues with an unfavorable prognosis, high rates of relapse and mortality.

Case report: Patient AFL, 69 years old, caucasian, male gender, alcoholic, smoker, diabetic, with a history of ulcerated lesion on the floor of the mouth without painful symptoms was referred to the Head and Neck Surgery Service of the Oncology Center of the Hospital University of Pernambuco – CEON / HUOC / UPE, where he was diagnosed with squamous cell carcinoma moderately differentiated, ulcerated with perineural infiltration, angiolymphatic and in bone tissue, as well as lymph node metastasis. Staging IVa (T4a N1 Mx). Multimodal therapy (surgery, radiotherapy and chemotherapy with cisplatin) was performed. Dental monitoring was maintained in pre, trans and after treatment in order to carry out the previous oral adequacy and control of oral complications due to antineoplastic therapy. After 2 years and 11 months of treatment, the patient returned to the dental clinic of the CEON / HUOC / UPE, complaining of intense pain in the oral cavity, clinically verified: ulcerated lesion with areas of reddish and whitish color, base hardened to palpation in the buccal floor region. After exams, a local recurrence of the carcinoma was diagnosed, and a new therapeutic course was planned, and salvage surgery was chosen.

Conclusion: Early diagnosis of oral ECC and medical and dental monitoring are factors that help reduce morbidity and mortality and improve the patient’s quality of life.

Keywords: Mouth Neoplasms, Carcinoma, Squamous Cell, Neoplasm Recurrence, Local, Public Health.

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Mayara Larissa Moura de Souza, Juliana Cavalcante de Oliveira, Maria Gabriela Cavalcanti de Araújo, José Brasiliense Holanda Cavalcanti Filho, Edvaldo Cassimiro Lins Filho, Riana Aurea Araújo de Barros, Aurora Karla de Lacerda Vidal. DANIEL and A.O. ADELEYE. ORAL CARCINOMA OF SQUAMOUS CELLS (OCSC) AND NEOPLASM RECURRENCE: CASE REPORT. International Journal of Dental Research and Reviews, 2020, 3:38. DOI: 10.28933/ijdrr-2020-05-1305


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